Winter M W
Intensive Care Unit, Flinders Medical Centre, Bedford Park, South Australia, Australia.
Anaesth Intensive Care. 2010 May;38(3):545-9. doi: 10.1177/0310057X1003800321.
A prospective observational audit of 32 intrahospital transfers of critically ill patients was undertaken within Flinders Medical Centre. The aim was to assess the adherence of recommended staffing and equipment required during intrahospital transfer according to the "Minimum standards for intrahospital transport of critically ill patients" (PS39) published in 2003 by the Joint Faculty of Intensive Care Medicine, the Australian and New Zealand College of Anaesthetists and Australasian College for Emergency Medicine. Incident monitoring was also performed during the audit. Findings showed adequate staffing for 75% of the transfers observed. Oxygen saturation and blood pressure monitoring were present in 97%, heart rate monitoring in 90.5%, electrocardiogram monitoring in 84.5% and capnometry monitoring in 75% of the intrahospital transfers observed. Overall, 44% of transfers resulted in incident occurrence, many of which were preventable with careful planning and increased communication between staff Intensive care units are encouraged to continually evaluate their intrahospital transportation of critically ill patients and to identify system problems contributing to failure of adherence to the current guidelines.
在弗林德斯医疗中心对32例重症患者的院内转运进行了前瞻性观察性审计。目的是根据重症监护医学联合学院、澳大利亚和新西兰麻醉师学院以及澳大拉西亚急诊医学学院2003年发布的《重症患者院内转运最低标准》（PS39），评估院内转运期间推荐的人员配备和设备的依从性。审计期间还进行了事件监测。结果显示，在观察到的转运中，75%的转运人员配备充足。在观察到的院内转运中，97%的转运进行了血氧饱和度和血压监测，90.5%进行了心率监测，84.5%进行了心电图监测，75%进行了二氧化碳监测。总体而言，44%的转运发生了事件，其中许多事件通过精心规划和加强工作人员之间的沟通是可以预防的。鼓励重症监护病房不断评估其对重症患者的院内转运情况，并识别导致未能遵守现行指南的系统问题。
